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https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(01)06742-3/fulltext
Nov 17, 2001 · The COMET study results1 confirm, again, that the use of dilute local anaesthetics with opioids improves labour outcome in pregnant women. This finding, reported by Chestnut and colleagues2 in 1988 has been shown repeatedly. Hence, the American Society of Anesthesiologists' guidelines on obstetric anaesthesia consequently advocate the combination of these drugs for labour analgesia.Author: Donal J Buggy, Naeem Ahmed, Elaine Hart
https://www.cochrane.org/CD000331/PREG_epidurals-pain-relief-labour
May 21, 2018 · Epidural analgesia is a central nerve block technique achieved by injection of a local anaesthetic close to the nerves that transmit pain, and is widely used as a form of pain relief in labour. However, there are concerns about unintended adverse effects on the mother and infant. This is an update of an existing Cochrane Review (Epidural versus non-epidural or no analgesia in labour), last ...
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(01)06743-5/fulltext
Nov 17, 2001 · In each group, 84% of woment were nulliparous (parity range 0–3), and median cervical dilation at epidural insertion was 4 cm (range 1–9). Instrumental (forceps or ventouse), but not caesarean, delivery was greatly reduced in the low-dose group.Author: Donal J Buggy, Naeem Ahmed, Elaine Hart
https://academic.oup.com/bjaed/article/4/4/114/308005
Aug 01, 2004 · Effect of epidural analgesia on labour and outcome. Though women who receive epidural analgesia during labour are more likely to require instrumental or caesarean delivery, there is little evidence to suggest that the epidural itself is to blame.Author: Elizabeth McGrady, Kerry Litchfield
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC421779/
Jun 12, 2004 · Objective To compare the effects of low concentration epidural infusions of bupivacaine with parenteral opioid analgesia on rates of caesarean section and instrumental vaginal delivery in nulliparous women.. Data sources Medline, Embase, the Cochrane controlled trials register, and handsearching of the International Journal of Obstetric Anesthesia. ...Author: E H C Liu, A T H Sia
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5136389/
Nov 20, 2016 · Objective. To investigate whether the use of epidural analgesia during induced labour was a risk factor for instrumental vaginal delivery and caesarean section (CS) delivery. Study Design. This was a retrospective case series of primigravidae women being ...Author: Angeliki Antonakou, Dimitrios Papoutsis
https://www.researchgate.net/publication/11626540_Instrumental_delivery_and_epidural_anaesthesia_-_Reply
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http://journals.lww.com/obgynsurvey/Abstract/1984/10000/Epidural_Analgesia_and_Instrumental_Delivery_.10.aspx
Epidural analgesia has been long associated with instrumental delivery. This is due partly to its use in cases which require such delivery for obstetrical and medical reasons. There are, however, situations in which the epidural itself may be responsible for the use of forceps.
https://www.sciencedirect.com/science/article/pii/S1010660X1500021X
To assess the influence of labor epidural analgesia on the course of labor and to determine its association with instrumental assisted delivery rate. Materials and methods A retrospective case–control study was performed during 2007–2011 aiming to identify the relation between epidural analgesia (EA) and instrumental assisted delivery (IAD ...Author: Kęstutis Rimaitis, Olga Klimenko, Marius Rimaitis, Asta Morkūnaitė, Andrius Macas
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